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Individual

MISS MARY PAT VASSAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT,CRT

Contact information

Practice address
2515 COUNTY ROAD 90, MAPLE PLAIN, MN 55359-9764
(763) 479-2677
Mailing address
2515 COUNTY ROAD 90, MAPLE PLAIN, MN 55359-9764

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
173C00000X
Reflexologist

Other

Enumeration date
02/05/2009
Last updated
02/05/2009
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